{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:30:29Z","timestamp":1786984229549,"version":"build-2736575974"},"reference-count":39,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014450","name":"Anschutz Medical Campus, University of Colorado","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014450","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["ajogmfm.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Obstetrics &amp; Gynecology MFM"],"published-print":{"date-parts":[[2021,1]]},"DOI":"10.1016\/j.ajogmf.2020.100271","type":"journal-article","created":{"date-parts":[[2020,10,27]],"date-time":"2020-10-27T13:35:45Z","timestamp":1603805745000},"page":"100271","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Cesarean wound closure in body mass index 40 or greater comparing suture to staples: a randomized clinical trial"],"prefix":"10.1016","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4988-0910","authenticated-orcid":false,"given":"Rachel L.","family":"Rodel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendra M.","family":"Gray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trevor E.","family":"Quiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Bodea Braescu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Gerkin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan H.","family":"Perlow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajogmf.2020.100271_bib1","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.ajog.2013.02.043","article-title":"Evidence-based surgery for cesarean delivery: an updated systematic review","volume":"209","author":"Dahlke","year":"2013","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib2","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.1097\/AOG.0b013e3181ac0544","article-title":"ACOG practice bulletin no. 105: bariatric surgery and pregnancy","volume":"113","year":"2009","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib3","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1016\/S0002-9378(94)70227-6","article-title":"Massive maternal obesity and perioperative cesarean morbidity","volume":"170","author":"Perlow","year":"1994","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib4","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1097\/01.AOG.0000107291.46159.00","article-title":"Maternal morbid obesity and the risk of adverse pregnancy outcome","volume":"103","author":"Cedergren","year":"2004","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib5","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1111\/j.1467-789X.2007.00397.x","article-title":"Maternal obesity and risk of cesarean delivery: a meta-analysis","volume":"8","author":"Chu","year":"2007","journal-title":"Obes Rev"},{"key":"10.1016\/j.ajogmf.2020.100271_bib6","doi-asserted-by":"crossref","first-page":"417.e1","DOI":"10.1016\/j.ajog.2012.02.037","article-title":"Maternal superobesity and perinatal outcomes","volume":"206","author":"Marshall","year":"2012","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib7","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1016\/j.ajog.2003.09.058","article-title":"Obesity, obstetric complications and cesarean delivery rate--a population-based screening study","volume":"190","author":"Weiss","year":"2004","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib8","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.ajog.2010.10.002","article-title":"Obesity and pregnancy: clinical management of the obese gravida","volume":"204","author":"Gunatilake","year":"2011","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib9","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/j.ajog.2018.08.006","article-title":"Guidelines for intraoperative care in cesarean delivery: Enhanced Recovery After Surgery Society Recommendations (part 2)","volume":"219","author":"Caughey","year":"2018","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib10","first-page":"CD003577","article-title":"Techniques and materials for skin closure in caesarean section","volume":"11","author":"Mackeen","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ajogmf.2020.100271_bib11","doi-asserted-by":"crossref","first-page":"3705","DOI":"10.3109\/14767058.2016.1141886","article-title":"Subcuticular sutures versus staples for skin closure after cesarean delivery: a meta-analysis","volume":"29","author":"Wang","year":"2016","journal-title":"J\u00a0Matern Fetal Neonatal Med"},{"key":"10.1016\/j.ajogmf.2020.100271_bib12","doi-asserted-by":"crossref","first-page":"621.e1","DOI":"10.1016\/j.ajog.2014.12.020","article-title":"Suture versus staples for skin closure after cesarean: a metaanalysis","volume":"212","author":"Mackeen","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib13","first-page":"299","article-title":"Maternal obesity and risk of postcesarean wound complications","volume":"31","author":"Conner","year":"2014","journal-title":"Am J Perinatol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib14","doi-asserted-by":"crossref","first-page":"271.e1","DOI":"10.1016\/j.ajog.2010.06.049","article-title":"Complications of cesarean delivery in the massively obese parturient","volume":"203","author":"Alanis","year":"2010","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib15","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1055\/s-0031-1295637","article-title":"Type of skin incision and wound complications in the obese parturient","volume":"29","author":"McLean","year":"2012","journal-title":"Am J Perinatol"},{"issue":"5 Pt 1","key":"10.1016\/j.ajogmf.2020.100271_bib16","first-page":"959","article-title":"Obesity as an independent risk factor for infectious morbidity in patients who undergo cesarean delivery","volume":"100","author":"Myles","year":"2002","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib17","doi-asserted-by":"crossref","first-page":"196","DOI":"10.3201\/eid0902.020232","article-title":"Health and economic impact of surgical site infections diagnosed after hospital discharge","volume":"9","author":"Perencevich","year":"2003","journal-title":"Emerg Infect Dis"},{"key":"10.1016\/j.ajogmf.2020.100271_bib18","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1080\/00016340701515225","article-title":"Post-cesarean surgical site infections according to CDC standards: rates and risk factors. A prospective cohort study","volume":"86","author":"Op\u00f8ien","year":"2007","journal-title":"Acta Obstet Gynecol Scand"},{"key":"10.1016\/j.ajogmf.2020.100271_bib19","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J\u00a0Biomed Inform"},{"key":"10.1016\/j.ajogmf.2020.100271_bib20","doi-asserted-by":"crossref","first-page":"285.e1","DOI":"10.1016\/j.ajog.2010.07.011","article-title":"Randomized controlled trial of wound complication rates of subcuticular suture vs staples for skin closure at cesarean delivery","volume":"203","author":"Basha","year":"2010","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib21","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1097\/AOG.0b013e31827a072c","article-title":"Surgical staples compared with subcuticular suture for skin closure after cesarean delivery: a randomized controlled trial","volume":"121","author":"Figueroa","year":"2013","journal-title":"Obstet Gynecol"},{"issue":"6 Pt 2","key":"10.1016\/j.ajogmf.2020.100271_bib22","first-page":"374","article-title":"A\u00a0randomised controlled trial of suture materials used for caesarean section skin closure: do wound infection rates differ?","volume":"102","author":"Chunder","year":"2012","journal-title":"S\u00a0Afr Med J"},{"key":"10.1016\/j.ajogmf.2020.100271_bib23","doi-asserted-by":"crossref","first-page":"451.e1","DOI":"10.1016\/j.ajog.2018.02.011","article-title":"Comparison of staples vs subcuticular suture in class III obese women undergoing cesarean: a randomized controlled trial","volume":"218","author":"Zaki","year":"2018","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib24","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1111\/aogs.12142","article-title":"Different ways of subcutaneous tissue and skin closure at cesarean section: a randomized clinical trial on the long-term cosmetic outcome","volume":"92","author":"Huppelschoten","year":"2013","journal-title":"Acta Obstet Gynecol Scand"},{"key":"10.1016\/j.ajogmf.2020.100271_bib25","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1097\/AOG.0b013e3182a5f0c3","article-title":"Subcuticular suture compared with staples for skin closure after cesarean delivery: a randomized controlled trial","volume":"122","author":"Aabakke","year":"2013","journal-title":"Obstet Gynecol"},{"issue":"5 Pt 1","key":"10.1016\/j.ajogmf.2020.100271_bib26","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1097\/01.AOG.0000124807.76451.47","article-title":"Suture closure of subcutaneous fat and wound disruption after cesarean delivery: a meta-analysis","volume":"103","author":"Chelmow","year":"2004","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib27","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1111\/1471-0528.14593","article-title":"The impact of subcutaneous tissue suturing at caesarean section on wound complications: a meta-analysis","volume":"124","author":"Pergialiotis","year":"2017","journal-title":"BJOG"},{"key":"10.1016\/j.ajogmf.2020.100271_bib28","first-page":"CD004663","article-title":"Techniques and materials for closure of the abdominal wall in caesarean section","volume":"4","author":"Anderson","year":"2004","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ajogmf.2020.100271_bib29","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1097\/AOG.0000000000002249","article-title":"Evidence-based bundles and cesarean delivery surgical site infections: a systematic review and meta-analysis","volume":"130","author":"Carter","year":"2017","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib30","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1097\/AOG.0000000000002745","article-title":"Institutional protocols for vaginal preparation with antiseptic solution and surgical site infection rate in women undergoing cesarean delivery during labor","volume":"132","author":"La Rosa","year":"2018","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib31","first-page":"CD007892","article-title":"Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections","volume":"4","author":"Haas","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ajogmf.2020.100271_bib32","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1056\/NEJMoa1602044","article-title":"Adjunctive azithromycin prophylaxis for cesarean delivery","volume":"375","author":"Tita","year":"2016","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.ajogmf.2020.100271_bib33","first-page":"e103","article-title":"Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 199: Use of Prophylactic Antibiotics in Labor and Delivery [published correction appears in Obstet Gynecol. 2019 Oct;134(4):883-884]","volume":"132(3)","year":"2018","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib34","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.ajog.2010.11.018","article-title":"Staples vs subcuticular sutures for skin closure at cesarean delivery: a metaanalysis of randomized controlled trials","volume":"204","author":"Clay","year":"2011","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib35","doi-asserted-by":"crossref","first-page":"1544","DOI":"10.3109\/14767058.2011.653422","article-title":"Risk factors for wound complications in morbidly obese women undergoing primary cesarean delivery","volume":"25","author":"Thornburg","year":"2012","journal-title":"J\u00a0Matern Fetal Neonatal Med"},{"key":"10.1016\/j.ajogmf.2020.100271_bib36","doi-asserted-by":"crossref","first-page":"57","DOI":"10.3171\/2012.10.SPINE12572","article-title":"The seasonality of postoperative infection in spine surgery","volume":"18","author":"Gruskay","year":"2013","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.ajogmf.2020.100271_bib37","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1017\/ice.2017.84","article-title":"The seasonal variability in surgical site infections and the association with warmer weather: a population-based investigation","volume":"38","author":"Anthony","year":"2017","journal-title":"Infect Control Hosp Epidemiol"},{"key":"10.1016\/j.ajogmf.2020.100271_bib38","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1111\/1471-0528.14637","article-title":"Subcutaneous closure after caesarean delivery: evidence update","volume":"124","author":"Vilchez","year":"2017","journal-title":"BJOG"},{"key":"10.1016\/j.ajogmf.2020.100271_bib39","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1097\/AOG.0000000000002849","article-title":"ACOG Committee Opinion No. 736: optimizing postpartum care","volume":"132","author":"McKinney","year":"2018","journal-title":"Obstet Gynecol"}],"container-title":["American Journal of Obstetrics &amp; Gynecology MFM"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589933320302640?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589933320302640?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T23:46:26Z","timestamp":1762904786000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2589933320302640"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":39,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["S2589933320302640"],"URL":"https:\/\/doi.org\/10.1016\/j.ajogmf.2020.100271","relation":{},"ISSN":["2589-9333"],"issn-type":[{"value":"2589-9333","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Cesarean wound closure in body mass index 40 or greater comparing suture to staples: a randomized clinical trial","name":"articletitle","label":"Article Title"},{"value":"American Journal of Obstetrics & Gynecology MFM","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajogmf.2020.100271","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}],"article-number":"100271"}}